Peter gets a vasectomy and loses all his sex drive. Lois begins to gain weight, and as a result, Peters regains his interest in his wife. When Lois habits get out of control, she has a heart attack. The surgeon must remove Lois fat to reach her heart, returning her to her normal weight. Meanwhile, Stewies half-brother Bertram returns to confront him, where they have a war for control over the playground.